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What Causes Persistent Panic Attacks, Swelling In Calves And Irregular Heartbeats?

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Posted on Thu, 28 Jan 2016
Question: Swelling in calves unexplained. anxiety attacks, possibly but to the point of problems breathing and slowing heart rate . Possible lump in breast female 46 90% sure in menopause hot flashes night sweats no period in 17 months 6 months liiving in XXXXXXX high altitude coming from OK.
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I recommend performing some tests:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that menopause can explain some of your symptoms, but not all of them.

It is important performing a comprehensive differential diagnosis between other possible causes:

- the swelling in your calves may be related to different causes: heart failure, low renal or liver function, venous insufficiency, fluid retention, etc.

- the episodes of shortness of breath and bradycardia could be caused by cardiac arrhythmia.

- it is important determine the mature of the lump in your breast ( inflammation or a tumor).

Coming to this point, I recommend consulting with your attending physician for a careful physical examination and some tests:

- resting ECG and cardiac ultrasound to examine your cardiac function
- an ambulatory 24-48 hours monitoring to exclude possible cardiac arrhythmia
- a chest X Ray study
- a breast ultrasound or mammogram to determine the nature of the lump in your breast
- blood lab tests ( complete blood count, inflammation tests, renal and liver function tests, blood electrolytes, fasting glucose)
- a Doppler ultrasound of the leg vessels to examine for possible venous insufficiency.
- a gynecologist consult coupled with an ultrasound is needed to examine your uterus.

You should discuss with your doctor on the above issues.

Hope to have been helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (8 minutes later)
I spoke to a nurse last night on a phone in program XXXXXXX offers. She want me to come imediately to er/urgent care do you think it's imperative I see a dr asap
doctor
Answered by Dr. Ilir Sharka (3 minutes later)
Brief Answer:
I agree with the nurse advice.

Detailed Answer:
Hello again!

I think that you should perfom those tests as soon as possible, to exclude some serious causes of your complaints. ..

I agree with the nurse advice.

Hope you will find this answer helpful!

Wishing all the best.,

Dr.Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9545 Questions

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What Causes Persistent Panic Attacks, Swelling In Calves And Irregular Heartbeats?

Brief Answer: I recommend performing some tests: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that menopause can explain some of your symptoms, but not all of them. It is important performing a comprehensive differential diagnosis between other possible causes: - the swelling in your calves may be related to different causes: heart failure, low renal or liver function, venous insufficiency, fluid retention, etc. - the episodes of shortness of breath and bradycardia could be caused by cardiac arrhythmia. - it is important determine the mature of the lump in your breast ( inflammation or a tumor). Coming to this point, I recommend consulting with your attending physician for a careful physical examination and some tests: - resting ECG and cardiac ultrasound to examine your cardiac function - an ambulatory 24-48 hours monitoring to exclude possible cardiac arrhythmia - a chest X Ray study - a breast ultrasound or mammogram to determine the nature of the lump in your breast - blood lab tests ( complete blood count, inflammation tests, renal and liver function tests, blood electrolytes, fasting glucose) - a Doppler ultrasound of the leg vessels to examine for possible venous insufficiency. - a gynecologist consult coupled with an ultrasound is needed to examine your uterus. You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards, Dr. Iliri